<!DOCTYPE html>
<html>

<head>

    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">


    <title>轩盛金融</title>
    <meta name="keywords" content="轩盛金融">
    <meta name="description" content="轩盛金融">

    <link rel="shortcut icon" href="favicon.ico">
    <link href="__CSS__/bootstrap.min14ed.css?v=3.3.6" rel="stylesheet">
    <link href="__CSS__/font-awesome.min93e3.css?v=4.4.0" rel="stylesheet">
    <link href="__CSS__/animate.min.css" rel="stylesheet">
    <link href="__CSS__/style.min862f.css?v=4.1.0" rel="stylesheet">
    <link href="__JS__/layui/css/layui.css"rel="stylesheet">

</head>

<body class="gray-bg">
    <div class="wrapper wrapper-content animated fadeInRight">
        
        <div class="row">
            <div class="col-sm-12">
                <div class="ibox float-e-margins">
                    <div class="ibox-title">
                        <h5>VIP订单添加</h5>
                        <div class="ibox-tools">
                            <a class="collapse-link" href="{:url('Ad/home')}">
                                <i class="fa fa-reply"></i>
                            </a>

                        </div>
                    </div>
                    <div class="ibox-content">
                        <form method="post" action="{:url('order/vipInsertOrder')}" class="form-horizontal layui-form" enctype="multipart/form-data">
                            <div class="form-group">
                                <label for="ad_name" class="col-sm-3 control-label">业务员</label>

                                <div class="col-sm-6">
                                    <input required="required" type="text" lay-verify="required" id="user" name="user" class="form-control layui-input" placeholder="业务员">
                                </div>
                            </div>

                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="media_type" class="col-sm-3 control-label">客户姓名</label>

                                <div class="col-sm-6">
                                    <input required="required" type="text" lay-verify="required" id="ad_name" name="ad_name" class="form-control layui-input" placeholder="客户姓名">
                                </div>
                            </div>
                            
                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label class="col-sm-3 control-label">性别</label>

                                <div class="col-sm-6">
                                    <select lay-filter="select" required="required" class="form-control m-b" name="cat_sex">
                                        <option value="" selected="selected">请选择性别</option>
                                       
                                            <option value="1">男</option>
                                            <option value="2">女</option>
                                        
                                    </select>
                                </div>
                            </div>

                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="pid" class="col-sm-3 control-label">客户基本情况</label>

                                <div class="col-sm-6">
                                    <input required="required" type="text" lay-verify="required" id="userSituation" name="userSituation" class="form-control" placeholder="客户基本情况">
                                </div>
                            </div>

                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="pid" class="col-sm-3 control-label">手机号码</label>

                                <div class="col-sm-6">
                                    <input required="required" type="text" lay-verify="required" id="phone" name="phone" class="form-control" placeholder="手机号码">
                                </div>
                            </div>


                    <!--         <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="ad_pic" class="col-sm-3 control-label">广告图片</label>

                                <div class="col-sm-6">
                                    <input required="required" type="file" lay-verify="required" id="ad_pic" name="ad_pic" class="form-control" accept="image/*">
                                </div>
                            </div> -->
                            
                           


                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="pid" class="col-sm-3 control-label">信用卡总额度</label>

                                <div class="col-sm-6">
                                    <input required="required" type="text" lay-verify="required" id="CreditCard" name="CreditCard" class="form-control" placeholder="信用卡总额度">
                                </div>
                            </div>

                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="pid" class="col-sm-3 control-label">已用额度</label>

                                <div class="col-sm-6">
                                    <input required="required" type="text" lay-verify="required" id="Amountused" name="Amountused" class="form-control" placeholder="已用额度">
                                </div>
                            </div>
                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="pid" class="col-sm-3 control-label">在还贷款金额</label>

                                <div class="col-sm-6">
                                    <input required="required" type="text" lay-verify="required" id="vip_amountonloan" name="vip_amountonloan" class="form-control" placeholder="在还贷款金额">
                                </div>
                            </div>
                            
                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="pid" class="col-sm-3 control-label">在还贷款月还</label>

                                <div class="col-sm-6">
                                    <input required="required" type="text" lay-verify="required" id="Loan" name="Loan" class="form-control" placeholder="贷款月还">
                                </div>
                            </div>
                             <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="pid" class="col-sm-3 control-label">需要贷款金额</label>

                                <div class="col-sm-6">
                                    <div class="input-group m-b">
                                        <input required="required" type="text" lay-verify="required" id="money" name="money" class="form-control" placeholder="贷款金额"><span class="input-group-addon">万</span>
                                    </div>
                                </div>
                            </div>
                            <!-- <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <label for="pid" class="col-sm-3 control-label">需要贷款金额/万</label>

                                <div class="col-sm-6">
                                    <input required="required" type="text" lay-verify="required" id="needToLoanMoney" name="needToLoanMoney" class="form-control" placeholder="需要贷款金额/万">
                                </div>
                            </div> -->
                            <!-- type 类型 -->
                            <input type="hidden" name="type" value="1">
                            
                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <div class="col-sm-2 col-sm-offset-5">
                                    <button lay-submit lay-filter="upload" class="btn btn-primary btn-block" type="submit">保存内容</button>
                                    
                                </div>
                            </div>

                            <div style="height: 50px"></div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>



    <script src="__JS__/jquery.min.js?v=2.1.4"></script>
    <script src="__JS__/bootstrap.min.js?v=3.3.6"></script>
    <script src="__JS__/layui/layui.js"></script>
    <script>
        // 引用layui
        layui.use(['layer', 'form'], function(){
          var layer = layui.layer;
          var form = layui.form;
        });
    </script>
</body>

</html>
